B. Management of Pediatric Trauma

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The goal of initial trauma management in children, as in adults, is to rapidly assess the injuries, to determine management priorities, and to provide critical interventions. The trauma nurse should do an immediate primary survey (rapid primary evaluation), resuscitation of vital functions (e.g., airway, breathing, circulation, mentation), utilization of adjuncts to the primary survey and resuscitation, secondary survey (more comprehensive secondary assessment), continued post resuscitation monitoring with further resuscitation as needed, utilization of adjuncts to the secondary survey and transition to definitive care.

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